Tuberculous splenic abscess in the immunocompetent host: a report and review of literature

Autor: Satyajeet Sahoo, Suprava Naik, Baijayantimala Mishra, Gopal Durgeshwar, Manoj Kumar Panigrahi, Sourin Bhuniya
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Monaldi Archives for Chest Disease, Vol 90, Iss 1 (2020)
Druh dokumentu: article
ISSN: 1122-0643
2532-5264
DOI: 10.4081/monaldi.2020.1167
Popis: Tubercular splenic abscess is rare, particularly in immunocompetent patients. Diagnostic difficulties usually arise in patients with tubercular splenic abscess because of its non-specific presentation. We report an elderly male who presented with cough and fever and had pulmonary infiltrates suspicious of tuberculosis. Bronchoalveolar lavage microbiology including XpertMTB/Rif assay was non-contributory. Contrast enhanced computed tomography scan of abdomen revealed multiple non-enhancing lesions in the spleen. Ultrasound guided splenic aspirate revealed pus that was positive for Mycobacterium tuberculosis in XpertMTB/Rif assay confirming the diagnosis of tuberculosis.
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